MEDICARE: IMMUNO LABORATORIES OF FLORIDA, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory	800001454	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	L8393	OTHER	FL	BCBS PROVIDER NO

General Provider Information

NPI Number	:	1992823371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMMUNO LABORATORIES OF FLORIDA, INC

Provider Business Mailing Address
First Line	:	6801 POWERLINE RD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-2155
Country	:	US
Telephone Number	:	954-691-2500
Fax Number	:	954-691-2505

Provider Business Practice Location Address
First Line	:	6801 POWERLINE RD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-2155
Country	:	US
Telephone Number	:	954-691-2500
Fax Number	:	954-691-2505

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. CHERYL A ZAVIK
Credential	:
Telephone Number	:	954-691-2500

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	03/20/2013

Similar Medicare Providers

1578372405 — CAREATC
Practice Location Address:

500 S HENDERSON ST STE 460
FT WORTH, TX
76104-2155

Practice Phone: 682-231-9110
Practice Fax:

1114623287 — TAMMY WARD GIPPS
Practice Location Address:

2149 NE 61ST CT
FORT LAUDERDALE, FL
33308-2155

Practice Phone: 954-257-5034
Practice Fax:

1639068661 — DR. DENISE FARRELL PHD
Practice Location Address:

1801 SW 1ST AVE APT 410
FORT LAUDERDALE, FL
33315-2155

Practice Phone: 615-593-7189
Practice Fax:

1053262709 — HENDERSON BEHAVIORAL HEALTH, INC.
Practice Location Address:

2900 W PROSPECT RD
FT LAUDERDALE, FL
33309-2519

Practice Phone: 954-486-4005
Practice Fax: 954-497-3857

1700889912 — DR. BARRY CHARNICK MD
Practice Location Address:

2122 W CYPRESS CREEK RD STE 210
FT LAUDERDALE, FL
33309-1868

Practice Phone: 954-266-3600
Practice Fax:

1760485437 — DR. MARY MAILLOUX MD
Practice Location Address:

3333 W COMMERCIAL BLVD , STE 210
FT LAUDERDALE, FL
33309-3407

Practice Phone: 877-751-1157
Practice Fax: 919-425-1596

Directions to “IMMUNO LABORATORIES OF FLORIDA, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.